David Brown Masterson, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000888A Issued in IN

Practice address

725 East Market St
Warsaw, IN 46580

Phone

(574) 267-7051

Fax

(574) 268-0008

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Masterson Chiropractic Clinic, LLC

  • Chiropractor
  • Warsaw, IN
  • NPI 1619607389
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1770517831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 EAST MARKET ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "46580",
            "telephone_number": "574-267-7051",
            "fax_number": "574-268-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 EAST MARKET ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "46580",
            "telephone_number": "574-267-7051",
            "fax_number": "574-268-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "DAVID",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000888A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10057190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Kay Markins, NP-C
• Abbygayle Marks
• Morgan Mast
• Masterson Chiropractic Clinic, LLC
• Masterson Chiropractic,LLC
• Sarah Linda Masterson, DC
• Alexander Matushek
• Maxcare Bionics Inc.
• Maxcare Orthotics and Prosthetics LLC
• Amy L Mayernik, MSN FNP-C

• Chiropractor in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.